Individual provider Active NPI

Russell E Coash, PA-C

  • Medical Physician Assistant
  • Geneva, NE
National Provider Identifier
1154371045
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1104 Issued in NE
Practice address
1840 F St
Geneva, NE 68361-2211
Phone
(402) 759-4485
Fax
(402) 759-4487
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fillmore County Medical Center PC 7 clinicians

Practice addresses (Care Compare)

1840 F St
Geneva, NE 68361-2211

1840 F St PO Box
Suite 268
Geneva, NE 68361-2211

Hospital & facility affiliations

  • Fillmore County Hospital Hospital, Geneva, NE, CCN 281301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401001470 NE Practitioner - Physician Assistant 9032101670 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fillmore County Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: russell.coash.1@26385.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1104 NE Primary

Addresses

NPPES NPI Registry

Primary practice location

1840 F St
Geneva, NE 68361-2211

Mailing address

PO Box 268
Geneva, NE 68361-0268
Phone (402) 759-4485

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
207Q00000XMedicaidNE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 16, 2012.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1154371045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "GENEVA",
            "state": "NE",
            "postal_code": "683610268",
            "telephone_number": "402-759-4485",
            "fax_number": "402-759-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 F ST",
            "city": "GENEVA",
            "state": "NE",
            "postal_code": "683612211",
            "telephone_number": "402-759-4485",
            "fax_number": "402-759-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COASH",
        "first_name": "RUSSELL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207Q00000X",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NE

Sources for this page

Verify at the official NPI Registry.